MEDICARE: DR. LAURIE ANN STEIN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DEN-8489	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043219173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURIE ANN STEIN DDS

Provider Business Mailing Address
First Line	:	500 PATTERSON RD
Second Line	:	SUITE Z
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-1962
Country	:	US
Telephone Number	:	970-241-1171
Fax Number	:	970-241-1261

Provider Business Practice Location Address
First Line	:	500 PATTERSON RD
Second Line	:	SUITE Z
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-1962
Country	:	US
Telephone Number	:	970-241-1171
Fax Number	:	970-241-1261

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	07/08/2007

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